HomeMy WebLinkAbout2001-P03617 - water heater .� PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P03617
Crystal Bay, Minnesota 55323 Permit Type: F►XtUres
(952) 249-4600 Date Issued: 3i19i2oot
SITE ADDRESS: 1270 French Creek�r
WAYZATA,MN 55391
PID: ]0-117-23-32-0014
DESCRIPTION:
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PCOpOSeCl USe: nc�iucui�ai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: � 35.00 Valuation: $ 1,295.00
State Surcharge Fee: $ 0.65
TOTAL FEE: $ 35.65
APPLICANT: WESTONKA MECHANICAL INC OWNER: P ERIC SIEGERT&A SIEGERT
6501 CTY ROAD ]5 1270 FRENCH CREEK DR
MOUND,MN 55364 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERIvIISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND A,GREES TO O ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORD[NANCES AND
STAT�OF MINNE TA BUILDING CODE REQUIREMENTS.
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Copies: City,Applicant,Assessar, Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUl�iBING PERMIT
Box 66 (2750 Kelley Parkway) .
Crystal Bay, MN 55323
GENERAL INFORI�IATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by retum mail after a review is completed. PER.�IITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII. THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing pemuts may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a sepazate buildinQ permit must be obtained.
5. All work must be done in accordance with the State Code requirements.
6: All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New Addition Repair Replace
Residential �_ Commercial
JOB SITE: �'� � " � Zip: 5 S
Owner's Name: � Telephone Number:
Mailing Address: City: Zip:
Contractor's Nam : Tele hone \umber: �--�
Mailing Address: �p S City: �10 V1 C Zip: �53��
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS�iT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
\� �j,S�OC� x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _3 S-(�S
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor, or installation aze fumished by the owner,
tenant or any other parry the reasonable market value of such items must be added to the estimated cost
or contract price for pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciiy may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant's Signature: �� ��--------- Date: � �
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO C�, SCHEDULED �^� ' ��
PERMIT NO. ��� COMPLETED � : �
ADDRESS Io� 7� ���lCf-� �/��`�,� ,L��.
OWNER CONTR. �-��� ��'.
TELEPHONE NO. ? a � l ���� .�C'���
� DESCRIPTION /"�y�4-Z �'l/L��' ��
� 01 FOOTING 11 M r.unNi(;p Ri 18 EXCAV/GRADING/FILLING
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Q 02 FRAMING 13 MECHA_NICALF!_n�n��'� 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
-��FfNA�L�' 14 SEWER HOOK-UP O6 PROGRESS
�' 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
`� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �IORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ��CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfUFN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector. �� ��� ��
White Copyllnspector's File Canary CopylSite Notice
DATE ME
CITY OF ORONO N � ��l� � - ��
INSPECTION NOTICE � SCHEDULED `�` r�l
PERMITNO. i"C% �� COMPLETED "1Z�—�/ �' �
ADDRESS � � � �� /zP��� �j�� �
OWN ER CONTR.
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TELEPHONE NO. `��`�-� " `��� � �
� DESCRIPTION �l {l / �`� .f �� ��� ��rnr`-r /-'�<�. T�"
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lL O1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
f� CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
f]STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
f 1 INSPECTION REQUIFIED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector. UI�IG�l���
White Copyllnspector's File Canary CopylSite Notice